Individual provider Active NPI

Walter J Griffiths, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Brattleboro, VT
National Provider Identifier
1962432880
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
042.000528 Issued in VT
Practice address
187 Oak Grove Ave
Brattleboro, VT 05301-6642
Phone
(802) 257-0307
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 042-0005283 VT
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 042.000528 VT Primary

Addresses

Primary practice location

187 Oak Grove Ave
Brattleboro, VT 05301-6642

Mailing address

15 Hapgood St
Bellows Falls, VT 05101-1507
Phone (802) 275-8734

Other practice location 1

15 Hapgood St
Bellows Falls, VT 05101-1507
Phone (802) 275-8734

Other identifiers 1

IdentifierTypeStateIssuer
0004538MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000255 VT Practitioner - Family PracticePractitioner - Geriatric Medicine 5799856092 Practice locations: Bellows Falls, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0005283VTMDGeriatric Medicine (Family Medicine) Physician
042.000528VTMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: walter.griffiths.1@3744.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1962432880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAPGOOD ST",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "051011507",
            "telephone_number": "802-275-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 OAK GROVE AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016642",
            "telephone_number": "802-257-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Hapgood St",
            "address_purpose": "LOCATION",
            "city": "Bellows Falls",
            "state": "VT",
            "postal_code": "051011507",
            "country_code": "US",
            "telephone_number": "802-275-8734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITHS",
        "first_name": "WALTER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VT",
            "license": "042-0005283",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VT",
            "license": "042.000528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004538",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.